Individual
MS. ANN M SUMIDA-JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A..
Contact information
Practice address
3020 CHILDRENS WAY, MC 5010, SAN DIEGO, CA 92123-4223
(858) 966-5838
Mailing address
3020 CHILDRENS WAY, MC 5010, SAN DIEGO, CA 92123-4223
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
1454
CA
Other
Enumeration date
01/25/2007
Last updated
07/08/2007
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